Korean J Occup Health Nurs.  2019 Nov;28(4):197-207. 10.5807/kjohn.2019.28.4.197.

The Effects of Operating Room Nurses' Perceptions of Organizational Health, Safety Climate, and the Nursing Working Environment on Engagement in Patient Safety Management Activities

• Kim MR
• Kwon MS

• KMID: 2469254
• DOI: http://doi.org/10.5807/kjohn.2019.28.4.197

Abstract

PURPOSE
This study aimed to examine the relationship between organizational health (OH), safety climate (SC), the nursing working environment (NWE), and engagement in patient safety management activities (PSMA) among operating room nurses and identify the factors that predict engagement in PSMA.
METHODS
From August 10th to 25th, 2018, 176 operating room nurses who were working in tertiary and general hospitals responded to a structured questionnaire. Using SPSS/WIN 25.0, the collected data were subjected to independent-samples t-test, one-way analysis of variance, Scheffé test, and Pearson's correlational and multiple stepwise regression analyses.
RESULTS
OH and SC were significantly correlated with engagement in PSMA. The factors that predicted engagement in PSMA were OH, NWE, participation in accreditation, years of work experience, and hospital size; together, they explained 17% of the variance in engagement in PSMA.
CONCLUSION
This study revealed that OH has a significant influence on engagement in PSMA among operating room nurses. Therefore, hospitals should aim to create healthy working environments to promote engagement in PSMA among operating room nurses, actively delegate responsibilities to increase their level of participation in accreditation, and implement strategies that maintain high levels of nurse retention.

Keyword

Operating rooms, Nurses; Safety management; Patient safety; Workplace

MeSH Terms

Accreditation
Climate*
Health Facility Size
Hospitals, General
Humans
Nursing*
Operating Rooms*
Patient Safety*
Safety Management